Offer summary

Qualifications:

Must have a Medical Degree (MD or DO), Current unencumbered medical license in Texas, Current Board Certification in Psychiatry and Addiction, 5 years of clinical experience post-residency completion..

Key responsabilities:

Review Prior Authorizations for treatment in Addiction Psychiatry

Complete each case in 30-60 minutes remotely

Set your own availability and work only 1-2 hours a week

Engage in peer-to-peer conversations during daytime availability.

Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983. Today MRIoA is an industry leader in providing external review resources for over 800 clients nationwide. MRIoA provides review of medical, dental, behavioral health, pharmacy, vision, disability, workers' compensation, and auto claims for insurance carriers, employers, TPAs, self- administered union groups, pharmacy benefit managers, human resource consultants and departments of insurance throughout the country. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA also has reviewers in most states, offering the most extensive same-state reviewer resources available from an external review organization. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition we are NCQA and SSAE 16 certified.MRIoA's goal is to render a professional, independent and unbiased opinion to assist our clients with their adjudication challenges or to provide an external source to comply with ERISA/DOL or state laws.MRIoA reviews cases prospectively, concurrently and retrospectively for: Medical Necessity, Appropriate Treatment, Experimental Procedures, Utilization Frequency, Appropriate Hospitalization, Formulary Criteria Review, Pre-Existing Conditions, Injury Causation, CPT Coding, Level of Disability, Provider Fees, Outpatient Facility Fees, and all Diagnostic Testing and Charges.MRIoA has provided state-level external review in many states since 2001. MRIoA is also contracted with hundreds of clients to offer Federal External Review under the ACA.

Job description

Description

Are you a Physician (MD or DO) interested in providing your expertise in Addiction Psychiatry by reviewing Prior Authorizations for treatment?

Medical Review Institute of America, LLC (MRIoA) is a national Independent Review Organization that facilitates the review of medical claims to determine treatment appropriateness.

IS REVIEW WORK FOR YOU?

See what other Psychiatrist are doing for their patients.
Spend only 1-2 hours a week.
Work remotely and set your own availability.
Each case takes 30-60 minutes to complete and can easily be done from anywhere in the US.

ADDITIONAL INFORMATION:

You will be covered under MRIoA’s Errors and Omissions policy (traditional Malpractice Insurance is not applicable for review work)
Work anywhere within the USA (Per HIPAA Regulations, patient records cannot leave the US).
This an Independent Contractor (1099) opportunity.

California Consumer Privacy Act (CCPA) Information (California Residents Only):

Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.